Caralee Posted Thu 14th of June, 2012 20:02:34 PM
If the surgeon places a PEEK (22851) interbody cage bilaterally which consists of using 2 cages, can I bill 22851 X2 or is it considered one?
SuperCoder Answered Thu 14th of June, 2012 20:25:00 PM
You should apply this code once per interspace. For instance, if the surgeon places two cages or three bone dowels at interspace T11/T12, you should report a single unit of 22851.
You may report additional units of 22851 for additional interspaces the surgeon treats. For instance, if the surgeon places two cages at T11/T12 and a third cage at T12/L1, you may report 22851 x 2.
For some payers, you may have to append modifier -59 (Distinct procedural service) to the second unit of 22851 to indicate that it represents instrumentation placed at a separate anatomic location.